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BUI' ''ING PERMIT APPLICATIO <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETTSUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices@everettwa goy I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) jib PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 906 Everett Mall Way PARCEL#: 28051800308500 <br /> CITY Everett STATE WA Zip 98208 <br /> SUITE/UNIT#: N/A FLOOR#: 1&2 ADDITIONAL LOCATION INFORMATION (if applicable): Exterior improvements <br /> TENANT/BUSINESS NAME(if non-residential):EVERETT MALL OFFICE PARK BUILDING III (Interior work) <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: SMbn II Township a Range as OunrrSW LOT Lot No.: sw t.OT c (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Pietromonaco Jackson Properties Contact:Danny Jackson <br /> OWNER MAILING ADDRESS: STREET 7525 SE 24th St,Suite 300 <br /> CITY Mercer Island STATE WA Zip 98040 <br /> OWNER PHONE:206-607-6021 OWNER EMAIL: danny@pjpnw.com <br /> CONTRACTOR COMPANY NAME:Unimark Construction LLC dba Skyline Construction Contact:Josh Eaton <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): U N I ifa(' L%C I By CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 2.4 <br /> CONTRACTOR ADDRESS: STREET330- 120th Ave NE Ste 100 <br /> CITY Bellevue STATE WA Zip 98005 <br /> CONTRACTOR PHONE:206-625-5117 CONTRACTOR EMAIL:joshe@skylineconstruction.build <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE:Kate Wittenbrook-Horne/Karen Wallace <br /> Ware M al co m b CONTACT EMAIL:katew@waremalcomb.com or kwallace@waremalcomb.com <br /> BUILDING INFORMATION �� <br /> VALUATION OF WORK:$373,472.00 ASSOCIATED LAND USE PROJECT#(i li 1 <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually r not) <br /> EXISTING USE OF BUILDING: Office NOV 0 8 2023 <br /> PROPOSED USE OF BUILDING:Office <br /> HEAT SOURCE: ❑Gas ❑Electric ❑Other CITYL OF EVERETT <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Comme alrl IlUaiSSPSIructure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑✓Remodel ❑Repair ❑T.I. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof I(Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK:THE SCOPE OF THIS PROJECT IS TO PROVIDE INTERIOR COMMON AREA BUILDING <br /> IMPROVEMENTS TO 1ST AND 2ND FLOORS OF EXISTING OFFICE B FOR USE AS THE SAME. NO <br /> CHANGE OF USE IS ANTICIPATED. INTERIOR CONSTRUCTION TO INCLUDE DEMOLITION OF <br /> MINOR WALLS, GWB SOFFIT, ACT TILES AND LIGHT FIXTURES, WHERE NOTED, AND INTERIOR <br /> WALL& FLOOR FINISHES. NEW INTERIOR CONSTRUCTION TO INCLUDE NEW GWB CEILING, <br /> NEW ACT TILE, NEW LIGHT FIXTURES, AND NEW WALL AND FLOOR FINISHES. <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> Digitally signed by Wta Wltlenbrook-Home PERMIT# <br /> DN C=US,E-katew(e'waremaicomb corn,O=Ware <br /> Kate Wittenbrook- Home MHlcmeb,OU-Intenor Design,CN-Kate Witte^brook <br /> Oats:2023 10 30 14 39 16-07'00' <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />